- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $61.66 / $288.40
| Facility | | $8.71 | $61.66 | $288.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $9.33 / $20.42
| Professional | | $6.46 | $9.33 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $6.92 / $11.48
| Professional | | $3.89 | $6.92 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $37.15 / $66.07
| Facility | | $13.49 | $37.15 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.31 / $10.72
| Professional | | $5.01 | $6.31 | $10.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $19.05 / $131.83
| Facility | | $10.72 | $19.05 | $131.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $11.48 / $18.20
| Professional | | $8.13 | $11.48 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $12.02 / $12.02
| Facility | | $11.48 | $12.02 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $25.12 / $61.66
| Facility | | $11.22 | $25.12 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $11.48 / $20.42
| Professional | | $6.61 | $11.48 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.62 / $77.62 / $77.62
| Facility | | $77.62 | $77.62 | $77.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $13.18 / $181.97
| Facility | | $8.32 | $13.18 | $181.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $10.47 / $20.89
| Professional | | $6.17 | $10.47 | $20.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $9.77 / $9.77
| Professional | | $8.71 | $9.77 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,698.24 / $2,454.71 / $3,311.31
| Facility | | $1,698.24 | $2,454.71 | $3,311.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $11.48 / $33.88
| Facility | | $8.71 | $11.48 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $9.77 / $19.95
| Professional | | $6.61 | $9.77 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $6.92 / $11.48
| Facility | | $4.07 | $6.92 | $11.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $6.61 / $9.33
| Professional | | $4.79 | $6.61 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $4.47 / $11.48
| Professional | | $4.47 | $4.47 | $11.48 |